Spontaneous intrahepatic portosystemic venous shunt in a patient with cirrhosis: diagnosis by combined color Doppler and pulsed Doppler ultrasonography.
Large spontaneous intrahepatic portosystemic venous shunts are occasionally found and their diagnosis by Doppler sonography is rarely reported. The authors describe a case of spontaneous intrahepatic porto-systemic venous shunt in liver cirrhosis diagnosed by color Doppler and characterized by an unusual pulsed Doppler spectrum: a continuous flat portal-like pattern of flow in the portal branch, and in both the shunt and the hepatic vein.
Grattagliano
A
A
Department of Internal Medicine, University, Rome, Italy.
Rapaccini
G L
GL
Camaldo
G
G
Pompili
M
M
Marino
P
P
Mastromatteo
A M
AM
Cotroneo
A R
AR
Gasbarrini
G
G
D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D005402:Fistula / Q000150:complications / Q000000981:diagnostic imaging*; D006503:Hepatic Veins / Q000002:abnormalities* / Q000000981:diagnostic imaging; D006801:Humans; D008099:Liver / Q000098:blood supply*; D008103:Liver Cirrhosis / Q000150:complications* / Q000175:diagnosis; D008297:Male; D011169:Portal Vein / Q000002:abnormalities* / Q000000981:diagnostic imaging; D011172:Portography; D014057:Tomography, X-Ray Computed; D018615:Ultrasonography, Doppler, Color; D018616:Ultrasonography, Doppler, Duplex